15250-m-cuypers

28 Chapter 2 ABSTRACT Objective - To investigate decision-making role preferences and their association with the evaluation of information received in a sample of low and intermediate risk prostate cancer (Pca) survivors. Methods - Cross-sectional study involving 562men diagnosed with low or intermediate risk Pca (median time since diagnosis of 48 months), measuring preferred decision- making role (Control Preference Scale) and the evaluation of information received (EORTC QLQ-INFO25). Analyses were performed using ANOVA, chi-square tests and multivariable linear regression models. Results - Men who preferred a passive role were older and less educated than other preference groups and more often selected a non-invasive treatment option (all with p <.001). The passive role preference group reported having received less information, judged the received information as less helpful and indicated lower overall satisfaction with information received (all with p <.05). Role preference groups did not differ in their desire to receive more information. Conclusion - Compared to non-passive preference groups, the preference for a passive role in Pca treatment decision-making is associated with less satisfaction with information received. Practice implications - Assessment of role preferences and tailored information- provision could improve satisfaction with information received and perhaps may ultimately lead to improved patient participation in treatment decision making.

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